ANAMNESIS / SYMPTOMS:
A 55 year old patient suffers from pain while ingesting food. On clinical examination an exulcerated tumour of the oral diaphragm is found.


FINDINGS:
On the sonogramm is in the anterior floor of the mouth a hypoechoic, diffusely bordered area in terms of a tumour with an extent of about 1 x 1 cm visible. Dorsal of the tumour a hypoechoic band that reaches into the submandibular gland is visible. The tumour seems not to infiltrate the muscles of the oral diaphragm. An infiltration of the mandible cannot be excluded by the means of a sonogramm.


DIAGNOSIS:
The patient is suspected of having a T1 carcinoma of the floor of the mouth with invasive growth. The tumour compresses the Wharton´s duct of the left submandibular gland which leads to a stasis of saliva in the duct.



Informations on the internet:

1) Medecoinfo
2) Krebsinfo